HSMI DATABASE
Organization Name
*
Your Front Photo
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Choose File
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Type
*
Beds
*
Doctor Name
*
Doctor Phone No:
*
Admin Name
*
Admin Phone No:
*
OT No.
*
Checkbox
*
Regular License
Provisional License
Desk Review
Complaint / Sealing
Computer Patient Record System
Basic Lab / Advance Lab
CC / Booth
Blood Unit /Blood Bank
Radiology
Registered
Health Card
*
YES
NO
Corporate Empanelment
*
YES
NO
Data Entry Person Name
*
Review
*
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